Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,995.26 / $7,762.47	Facility		$794.33	$1,995.26	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,737.80	Professional		$851.14	$1,023.29	$1,737.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,762.47 / $19,498.45	Facility		$4,786.30	$7,762.47	$19,498.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,230.27 / $1,819.70	Professional		$776.25	$1,230.27	$1,819.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,412.54 / $3,801.89	Professional		$891.25	$1,412.54	$3,801.89
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,096.48 / $1,202.26	Professional		$1,023.29	$1,096.48	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $4,265.80 / $7,585.78	Facility		$1,288.25	$4,265.80	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,905.46	Professional		$870.96	$1,122.02	$1,905.46